Cortical screw pullout strength and effective shear stress in synthetic third generation composite femurs

Journal of Biomechanical Engineering

Volumn 129, Issue 2, 2007, Pages 289-293

  Zdero, Radovan ^a   Rose, Shaun ^b   Schemitsch, Emil H ^a,c   Papini, Marcello ^b  

^a ST MICHAEL'S HOSPITAL   (Canada)

^b RYERSON UNIVERSITY   (Canada)

^c UNIVERSITY OF TORONTO   (Canada)

Author keywords

Bone analog; Composite femur; Cortical screws; Holding power; Pull out strength; Screw purchase

Indexed keywords

BIOMECHANICS; FRACTURE FIXATION; ORTHOPEDICS; SHEAR STRESS; STATISTICAL METHODS;

BICORTICAL SCREWS; BONE ANALOG; COMPOSITE FEMUR; CORTICAL SCREWS; SCREW PURCHASE;

BONE;

ARTICLE; BONE SCREW; BONE STRENGTH; BRAIN CORTEX; CADAVER; FEMUR HEAD; FORCE; HUMAN; MEDICAL LITERATURE; NONHUMAN; SHEAR STRESS; TIBIA SHAFT;

BIOMECHANICS; BONE SCREWS; CADAVER; EQUIPMENT DESIGN; FEMUR; FRACTURE FIXATION, INTERNAL; HUMANS; INTERNAL FIXATORS; MATERIALS TESTING; STRESS, MECHANICAL;

ANIMALIA;

EID: 34248222127     PISSN: 01480731     EISSN: None     Source Type: Journal    
DOI: 10.1115/1.2540926     Document Type: Article

References (38)

1. Tencer, A. F., and Johnson, K. D., 1994, "Lower Extremity Fixation" in Biomechanics in Orthopedic Trauma, J. B. Lippincott Company, Philadelphia, pp. 249-274.
2. Ogden, W. S., and Rendall, J., 1978, "Fractures Beneath Hip Prostheses: A Special Indication for Parham Bands and Plating," Orthop. Trans., 2, p. 70.
3. Althausen, P. L., Lee, M. A., Finkemeier, C. G., Meehan, J. P., and Rodrigo, J. J., 2003, "Operative Stabilization of Supracondylar Femur Fractures Above Total Knee Arthroplasty: A Comparison of Four Treatment Methods," J. Arthroplasty, 18, pp. 834-839.
4. Dennis, M. G., Simon, J. A., Kummer, F. J., Koval, K. J., and Di Cesare, P. E., 2000, "Fixation of Periprosthetic Femoral Shaft Fractures Occurring at the Tip of the Stem: A Biomechanical Study of 5 Techniques," J. Arthroplasty, 15(4), pp. 523-528.
5. Emerson, R. H., Jr., Malinin, T. I., Cuellar, A. D., Head, W. C., and Peters, P. C., 1992, "Cortical Strut Allografts in the Reconstruction of the Femur in Revision Total Hip Arthroplasty. A Basic Science and Clinical Study," Clin. Orthop. Relat. Res., 285, pp. 35-44.
6. Fulkerson, E., Egol, K., Preston, C., Iesaka, K., Kummer, F., and Koval, K., 2004, "Fixation of Periprothetic Femoral Shaft Fractures: A Biomechanical Comparison of Locked Plating and Conventional Cable Plates (Ogden Construct)," Proceedings of the Orthopaedic Trauma Association 20th Annual Meeting, Florida.
7. Kelley, S. S., 1994, "Periprosthetic Femoral Fractures," J. Am. Acad. Orthop. Surg., 2, pp. 164-172.
8. Alho, A., 1997, "Concurrent Ipsilateral Fractures of the Hip and Shaft of the Femur: A Systematic Review of 722 Cases," Ann. Chir. Gynaecol., 86(4), pp. 326-336.
9. Rockwood and Green's Fractures in Adults, 5th ed., 2001, R. W. Bucholz J. D. Heckman, eds., Lippincott, Williams, and Wilkins, Philadelphia, PA.
10. Fulkerson, E., Koval, K., Preston, C. F., Iesaka, K., Kummer, F. J., and Egol, K. A., 2006, "Fixation of Periprosthetic Femoral Shaft Fractures Associated With Cemented Femoral Stems: A Biomechanical Comparison of Locked Plating and Conventional Cable Plates," J. Orthop. Trauma, 20(2), pp. 89-93.
11. Law, M., Tencer, A. F., and Anderson, P. A., 1993, "Caudo-Cephalad Loading of Pedicle Screws: Mechanisms of Loosening and Methods of Augmentation," Spine, 18, pp. 2438-2443.
12. Merk, B. R., Stern, S. H., Cordes, S., and Lautenschlager, E. P., 2001, "A Fatigue Life Analysis of Small Fragment Screws," J. Orthop. Trauma, 15(7), pp. 494-499.
13. Ansell, R., and Scales, J., 1968, "A Study of Some Factors Which Affect the Strength of Screws and Their Insertion and Holding Power in Bone," J. Biomech., 1(4), pp. 279-302.
14. Cheal, E. J., Spector, M., and Hayes, W. C., 1992, "Role of Loads and Prosthesis Material Properties on the Mechanics of the Proximal Femur After Total Hip Arthroplasty," J. Orthop. Res., 10, pp. 405-422.
15. Cusick, R. P., Lucas, G. L., McQueen, D. A., and Graber, C. D., 2000, "Construct Stiffness of Different Fixation Methods for Supracondylar Femoral Fractures Above Total Knee Prostheses," Am. J. Orthop., 29(9), pp. 695-699.
16. Cheung, G., Zalzal, P., Bhandari, M., Spelt, J. K., and Papini, M., 2004, "Finite Element Analysis of a Femoral Retrograde Intramedullary Nail Subject to Gait Loading," Med. Eng. Phys., 26(2), pp. 93-108.
17. Heiner, A. D., and Brown, T. D., 2001, "Structural Properties of a New Design of Composite Replicate Femurs and Tibias," J. Biomech., 34, pp. 773-781.
18. Heiner, A. D., and Brown, T. D., 2003, "Structural Properties of an Improved Redesign of Composite Replicate Femurs and Tibias," Proceedings of the 49th Annual Meeting of the Orthopaedic Research Society, New Orleans.
19. Peindl, R. D., Zura, R. D., Vincent, A., Coley, E. R., Bosse, M. J., and Sims, S. H., 2004, "Unstable Proximal Extraarticular Tibia Fractures: A Biomechanical Evaluation of Four Methods of Fixation," J. Orthop. Trauma, 18(8), pp. 540-545.
20. Zdero, R., Walker, R., Waddell, J. P., and Schemitsch, E. H., "The Biomechanics of Periprosthetic Mid-Shaft Femoral Fractures following THA: A Comparison of Locked Plates, Non-Locked Plates, and Allograft Struts," unpublished.
21. Cristofolini, L., Viceconti, M., Cappello, A., and Toni, A., 1996, "Mechanical Validation of Whole Bone Composite Femur Models," J. Biomech., 29(4), pp. 525-535.
22. Cristofolini, L., and Viceconti, M., 2000, "Mechanical Validation of Whole Bone Composite Tibia Models," J. Biomech., 33(3), pp. 279-288.
23. Papini, M., Zdero, R., Zalzal, P., and Schemitsch, E. H., 2007, "The Biomechanics of Human Femurs in Axial and Torsional Loading: Comparison of Finite Element Analysis, Human Cadaveric Femurs, and Synthetic Femurs," J. Biomech. Eng., in press.
24. Yerby, S., Scott, C., Evans, N. J., Messing, K. L., and Carter, D. R., 2001, "Effect of Cutting Flute Design on Cortical Bone Screw Insertion Torque and Pullout Strength," J. Orthop. Trauma, 15(3), pp. 216-221.
25. Stromsoe, K., Kok, W. L., Hoiseth, A., and Alho, A., 1993, "Holding Power of the 4.5 mm AO/ASIF Cortex Screw in Cortical Bone in Relation to Bone Mineral," Injury, 24(10), pp. 656-659.
26. Schatzker, J., Sanderson, R., and Murnaghan, J. P., 1975, "The Holding Power of Orthopedic Screws In Vivo," Clin. Orthop. Relat. Res., 108, pp. 115-126.
27. Lawson, K. J., and Brems, J., 2001, "Effect of Insertion Torque on Bone Screw Pullout Strength," Orthopedics, 24(5), pp. 451-454.
28. Bolliger Neto, R., Alvarenga Rossi, J. D. M. B., and Leivas, T. P., 1999, "Experimental Determination of Bone Cortex Holding Power of Orthopedic Screw," Rev. Hosp. Clin. Fac. Med. Sao Paulo, 54(6), pp. 181-186.
29. Lyon, W. F., Cochran, J. R., and Smith, L., 1941, "Actual Holding Power of Various Screws in Bone," Ann. Surg., 114, pp. 376-384.
30. Trader, J. E., Johnson, R. P., and Kalbfleisch, J. H., 1979, "Bone Mineral Content, Surface Hardness, and Mechanical Fixation in the Human Radius," J. Bone Jt. Surg., Am. Vol., 61-A, pp. 1217-1220.
31. Schatzker, J., Sanderson, R., and Murnaghan, J. P., 1975, "The Holding Power of Orthopedic Screws In Vivo," Clin. Orthop. Relat. Res., 108, pp. 115-126.
32. Koranyi, E., Bowman, C. E., Knecht, C. D., and Janssen, M., 1970, "The Holding Power of Orthopedic Screws in Bone," Clin. Orthop. Relat. Res., 72, pp. 283-286.
33. Vangsness, C. T., Jr, Carter, D. R., and Frankel, V. H., 1981, "In Vitro Evaluation of the Loosening Characteristics of Self-tapped and Non-self-tapped Cortical Bone Screws," Clin. Orthop. Relat. Res., 157, pp. 279-286.
34. Leggon, R., Lindsey, R. W., Doherty, B. J., Alexander, J., and Noble, P., 1993, "The Holding Strength of Cannulated Screws Compared With Solid Core Screws in Cortical and Cancellous Bone," J. Orthop. Trauma, 7(5), pp. 450-457.
35. Flahiff, C. M., Gober, G. A., and Nicholas, R. W., 1995, "Pullout Strength of Fixation Screws from Polymethylmethacrylate Bone Cement," Biomaterials, 6(7), pp. 533-536.
36. Chapman, J. R., Harrington, R. M., Lee, K. M., Anderson, P. A., Tencer, A. F., and Kowalski, D., 1996, "Factors Affecting the Pullout Strength of Cancellous Bone Screws," ASME J. Biomech. Eng., 118, pp. 391-398.
37. Baumgart, F. W., Cordey, J., Morikawa, K., Perren, S. M., Rahn, B. A., Schavan, R., and Snyder, S., 1993, "AO/ASIF Self Tapping Screws (STS)," Injury Sup., 1, pp. S1-S17.
38. Linke, B., Butscher, A., Schneider, R., Wahl, D., and Gasser, B., 2003, "Holding Strength of Conventional and Locking Head Screws," Folia Traumatologica Lovaniensia, pp. 68-79.